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Showing posts from November, 2022

60 Year Old with CKD

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This Elog book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment .  11 Nov 2022 A 60 YEAR OLD FEMALE Resident of Narketpally, farmer 20 years ago Chief Complaint Pedal edema since 2 months Shortness of breath since 2 months History of Presenting Illness Patient was apparently asymmtomatic 20 years back then she went for routine check up where they diagnosed her with kidney problem. Since then she is on Sodium bicarbonate twice daily and Calcitriol once daily. 3 years back she had a episode of giddiness, she was diagnosed as Hypertension. Since then s

62 Year old Female with Paralysis of Left upper and lower limb

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This Elog book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment . 5th Nov 62 YEAR OLD FEMALE Resident of Nakrekal, labourer ( works in field) by occupation  Chief Complaint: Left upper and lower limb paralysis since one day History of Presenting Illness: Patient was apparently asymmtomatic 1day back, then she had giddiness (morning 4th Nov) after which she was unable to move her left upper arm ( only 45°abduction, flexion) and lower leg. Local RMP was called who told that BP was high and gave antihypertensive drug. Then she came to hospital with una

25 Year old Female with AKI , SEPSIS, MODS

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This Elog book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment . Thank you Dr Kulkarni Sir  2Nov 2022 25 YEAR OLD FEMALE Resident of Nalgonda Chief Complaints: Generalized edema  on and off since 2months Shortness of breath since 1week Fever since 10 days History of Presenting Illness: Patient  G2P1L1 was apparently asymmtomatic 2months back then she developed generalized edema for which she went to local RMP where she was diagnosed as  Gestational Hypertension and started on medication. 1week later she developed seizures 2 episodes - Tongue bite a